Music therapy was noninferior to verbal standard treatment of traumatized refugees in mental health care: Results from a randomized clinical trial. Issue 1 (1st January 2021)
- Record Type:
- Journal Article
- Title:
- Music therapy was noninferior to verbal standard treatment of traumatized refugees in mental health care: Results from a randomized clinical trial. Issue 1 (1st January 2021)
- Main Title:
- Music therapy was noninferior to verbal standard treatment of traumatized refugees in mental health care: Results from a randomized clinical trial
- Authors:
- Beck, B. D.
Meyer, S. L.
Simonsen, E.
Søgaard, U.
Petersen, I.
Arnfred, S. M. H.
Tellier, T.
Moe, T. - Abstract:
- ABSTRACT: Background : Many people with refugee backgrounds suffer from trauma-related complex social and psychological problems, and compliance with standard psychological treatment tends to be low. More culturally adaptable treatment options seem to be needed. Objective : We aimed to investigate whether the music therapy method: 'trauma-focused music and imagery' (tr-MI), characterized by a particular focus on arousal and affect regulation, would be equally effective as the standard psychological talk therapies for ameliorating trauma symptoms in Danish refugees. Methods : A pragmatic, noninferiority, parallel, randomized controlled trial with six-month follow-up was carried out at three clinics for refugees in the public mental health services of the Psychiatry (DK). Seventy-four adults diagnosed with posttraumatic stress disorder (PTSD) were allocated to either music therapy sessions (tr-MI, N = 39) or psychological treatment as usual (TAU, N = 35). Western classical music, new age music, and music from the participants' own national culture were used to generate inner imagery, following a phased treatment protocol. Homework entailed listening to music. The primary outcome was the measurement of trauma symptoms by the Harvard Trauma Questionnaire, section IV (HTQ-IV); secondary measures were somatoform and psychoform dissociation (DSS-20), SDQ-20), attachment (RAAS), and well-being (WHO-5). Treatment effects reflected by primary and secondary measures were estimatedABSTRACT: Background : Many people with refugee backgrounds suffer from trauma-related complex social and psychological problems, and compliance with standard psychological treatment tends to be low. More culturally adaptable treatment options seem to be needed. Objective : We aimed to investigate whether the music therapy method: 'trauma-focused music and imagery' (tr-MI), characterized by a particular focus on arousal and affect regulation, would be equally effective as the standard psychological talk therapies for ameliorating trauma symptoms in Danish refugees. Methods : A pragmatic, noninferiority, parallel, randomized controlled trial with six-month follow-up was carried out at three clinics for refugees in the public mental health services of the Psychiatry (DK). Seventy-four adults diagnosed with posttraumatic stress disorder (PTSD) were allocated to either music therapy sessions (tr-MI, N = 39) or psychological treatment as usual (TAU, N = 35). Western classical music, new age music, and music from the participants' own national culture were used to generate inner imagery, following a phased treatment protocol. Homework entailed listening to music. The primary outcome was the measurement of trauma symptoms by the Harvard Trauma Questionnaire, section IV (HTQ-IV); secondary measures were somatoform and psychoform dissociation (DSS-20), SDQ-20), attachment (RAAS), and well-being (WHO-5). Treatment effects reflected by primary and secondary measures were estimated using linear mixed models. Results : Tr-MI was noninferior to TAU (mean difference at follow-up HTQ-IV: 0.14, CI (−0.10; 0.38), with a − 0.3 noninferiority margin). A high dropout rate of 40% occurred in the TAU group, compared to 5% in the music therapy group. Secondary measures generated small to medium effect sizes in both groups, with significant medium effect sizes for well-being and psychoform dissociation at follow-up in tr-MI. Conclusions : Tr-MI is an innovative form of psychological treatment in refugee mental health services. Trials comparing music therapy to standardized therapy are needed to substantiate the evidence base for tr-MI therapy. HIGHLIGHTS: Music therapy was shown to be no less effective than standard psychological treatment regarding the decrease of posttraumatic stress disorder symptoms in a randomized clinical trial with 74 adult traumatized refugees. Good retainment and significant changes in well-being and dissociation during six-month follow-up were found in music therapy. … (more)
- Is Part Of:
- European journal of psychotraumatology. Volume 12:Issue 1(2021)
- Journal:
- European journal of psychotraumatology
- Issue:
- Volume 12:Issue 1(2021)
- Issue Display:
- Volume 12, Issue 1 (2021)
- Year:
- 2021
- Volume:
- 12
- Issue:
- 1
- Issue Sort Value:
- 2021-0012-0001-0000
- Page Start:
- Page End:
- Publication Date:
- 2021-01-01
- Subjects:
- Refugees -- trauma -- dissociation -- attachment -- non-inferiority -- music therapy -- Guided Imagery and Music
Refugiados -- trauma -- disociación -- apego -- no-inferioridad -- músicoterapia -- Imaginería Guiada y Música -- Ensayo controlado aleatorizado -- Salud Mental
难民 -- 创伤 -- 解离 -- 依恋 -- 非劣效 -- 音乐疗法 -- 图像和音乐指导 -- 随机对照试验 -- 心理健康
Post-traumatic stress disorder -- Periodicals
Stress Disorders, Post-Traumatic
Post-traumatic stress disorder
Electronic journals
Periodicals
Periodicals
Fulltext
Internet Resources
Periodicals
616.8521 - Journal URLs:
- http://www.ncbi.nlm.nih.gov/pmc/journals/1804/ ↗
https://www.tandfonline.com/toc/zept20/current ↗
http://www.tandfonline.com/ ↗ - DOI:
- 10.1080/20008198.2021.1930960 ↗
- Languages:
- English
- ISSNs:
- 2000-8198
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
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- British Library DSC - BLDSS-3PM
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- 25440.xml